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Home My WebLink AboutPACIFIC ST 250 11/08/2018CITY OF TUSTIN - Community Development Department - Building Division 300 Centennial Way, Tustin CA 92780 Building Counter (714) 573-3131 - Inspection Recorder (714) 573-3141 BUILDING PERMIT' NUNIBER: BR -2018-00471 ADDRESS: 250 PACIFIC ST ASSESSORS .PARCEL NUMBER: 401-551-18. ISSUED BY: SYSTEM ADMINISTRATOR DEVELOPMENT AREA: NO COMMERCIAL DISTRIC DATE ISSUED: PROPERTY OWNER: FREDERICERY 0 WAREHOUSE SQ FT: 0 ROOF SQ FT: 250 PACIFIC 0 CBC EDITION: 2016 NUMBER OF UNITS: TUSTIN, CA 92780 0 BUILDER VALUATION: APPLICANT NUMBER OF STORIES: VALUATION: $0.00 CONTRACTOR KEVIN HOCKENBERRY KB CONSTRUCTION 515 W THIRD ST, TUSTIN, CA 92780 . (714)363-9461 JOB DESCRIPTION: LEGALIZE 2 PATIO COVER TRELLIS (T-1(75SF), T-2 (80SF)) LEGALIZE STORAGE SHED ATTACHED TO GARAGE (25 SF) OCCUPANT LOAD: O.C.F.A Number CONSTRUCTION TYPE: RESIDENTIAL SQ.FT: - OCCUPANY GROUP: INDUSTRIAL SQ.FT: 0 GARAGE SQ FT: 0 COMMERCIAL; SQ FT: 0 WAREHOUSE SQ FT: 0 ROOF SQ FT: 0 OFFICE SQ FT: 0 CBC EDITION: 2016 NUMBER OF UNITS: - TENANT IMPR. SQ FT: 0 BUILDER VALUATION: NUMBER OF SEATS: NUMBER OF STORIES: VALUATION: $0.00 FEE SUMMARY BUILDING PERMIT FEE $144.00 PERMIT ISSUANCE FEE - $35.00 PLANNING INSPECTION FEE - $28.80 BUILDING BUILDING SEISMIC STRUCTURAL FEE - $0.50 WRRP APPLICATION FEE $50.00 RESIDENTIAL TOTAL FEES: LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am a licensed Contractor under the provisions of chapter 9 (commencing with Section 7000) of Division 3 of the Business & Professions Code, and my license - LICENSE NUMBER: 715065 LICENSE CLASS: B General Building Contractor Expires Date: 11630/2019 OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5, Business Professions Code: Any City of county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) of Division 3 of the Business & Professions code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500.00). _ I as owner of the property, or my employees with wages as their sole compensation, will do the work and the structure is not intended or offered for sale (Section 7044, Business & Professions Code: the Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who docs such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement it sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for purposes of sale). I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Section 7044, Business & Professions Code: The Contractor's License Law does not apply to an owner of properly who builds or improves thereon, and who contracts for such projects with a contractor(s) license pursuant to the Contractor's License Law). .I am exempt under Section Business & Professions Code for the following reason(s): Owner Signature: Date: WORKER'S COMPENSATION DECLARATION: _I have and will maintain a certificate of consent to self -insure for Worker's Compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. - I have and will maintain Worker's Compensation insurance, &a required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Worker's Compensation insurance carrier and Policy Number are: . POLICY NUMBER: exempt to work COMPANY: (This section need not be completed if the permit is for one hundred dollars ($100) or less). _ I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California, and I agree that if I should become subject to the Worker's Compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. WARNING: Failure to secure Worker's Compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($100,000) in addition to the cost of compensation, damages as provided for in Section (3700) of the Labor Code, interest and attorney fees. IMPORTANT: - Application is hereby made to the Building Official for a permit subject to the conditions and restrictions set forth on this application. Each person upon whose behalf this application is made and each person at whose request and for whose benefit work is performed under or pursuant to any permit issues as a result of this application agrees to, and shall, indemnify and hold harmless the City of Tustin, its officers, agents and employees in accordance with the provisions of Chapter 2 of the Uniform Administrative Code. I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection has been received. I certify that I have read this application and state that the above information is correct I agree to comply with all City and State laws relating to the building construction, and hereby authorize representative of the City to enter upon the above mentioned property for inspection purposes. S ignature ofn Contracan.Authorized Agent Date **+ BUILDING PERMITS ARE SUBJECT TO EXPIRATION IF WORK IS NOT COMMENCED WITHIN 180 DAYS AFTER DATE OF ISSUANCE OR IF WORK IS SUSPENDED FOR 180 DAYS*** 180 East Main Street, Suite 170 TUSTIN, CALIFORNIA 92680 (714) 832-2277 FAX (714) $32-9160 wnr c PtlN1CfbLLi SgY�tls1'AillP�1�0C.GFb,Yamiil leoirfl�MLP�i-@]6 ilu set M. DATE 180 East Main Street, Suite 170 TUSTIN, CALIFORNIA 92680 (714) 832-2277 FAX (714) $32-9160 f4 xwnn mu �snesretasitymn®.�.s�n..�ammsoofrreu�m!�imoase�ee 180 East Main Street, Suite 170 SHEEP No. TUSMN, CALIFORNIA 92680 (714) 832-2277 CALCULA� � FAX (714) 832-9160 CHECKED� moarrm�-i t��, mdn r�.m�aan�mmnaa:xo�iaix�,®mc�o